{"id":"https://openalex.org/W2398618739","doi":null,"title":"The potential of pill splitting to achieve cost savings.","display_name":"The potential of pill splitting to achieve cost savings.","publication_year":2002,"publication_date":"2002-08-01","ids":{"openalex":"https://openalex.org/W2398618739","mag":"2398618739","pmid":"https://pubmed.ncbi.nlm.nih.gov/12212758"},"language":"en","primary_location":{"id":"pmid:12212758","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12212758","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014619117","display_name":"Randall Scott Stafford","orcid":"https://orcid.org/0000-0003-1805-1271","observed_orcids":["https://orcid.org/0000-0003-1805-1271"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Randall S Stafford","raw_affiliation_strings":["Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, USA. rstafford@stanford.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, USA. rstafford@stanford.edu","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110744936","display_name":"David Radley","orcid":"https://orcid.org/0000-0002-2235-3187","observed_orcids":["https://orcid.org/0000-0002-2235-3187"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David C Radley","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":12.0767,"has_fulltext":false,"cited_by_count":55,"citation_normalized_percentile":{"value":0.98120509,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":99},"biblio":{"volume":"8","issue":"8","first_page":"706","last_page":"12"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.4431000053882599,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.4431000053882599,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.3869999945163727,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.04800000041723251,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/drug-cost-savings","display_name":"drug cost savings","score":0.734000027179718},{"id":"https://openalex.org/keywords/drug-costs","display_name":"drug costs","score":0.4350000023841858},{"id":"https://openalex.org/keywords/managed-care","display_name":"managed care","score":0.6010000109672546},{"id":"https://openalex.org/keywords/commercial-health-plans","display_name":"commercial health plans","score":0.593999981880188},{"id":"https://openalex.org/keywords/pharmacy-claims-data","display_name":"pharmacy claims data","score":0.42500001192092896},{"id":"https://openalex.org/keywords/clinical-appropriateness","display_name":"clinical appropriateness","score":0.6499999761581421},{"id":"https://openalex.org/keywords/drug-safety","display_name":"drug safety","score":0.37400001287460327},{"id":"https://openalex.org/keywords/clonazepam","display_name":"clonazepam","score":0.6840000152587891},{"id":"https://openalex.org/keywords/doxazosin","display_name":"doxazosin","score":0.8949999809265137},{"id":"https://openalex.org/keywords/statins","display_name":"statins","score":0.8870000243186951},{"id":"https://openalex.org/keywords/antidepressants","display_name":"antidepressants","score":0.7160000205039978},{"id":"https://openalex.org/keywords/lisinopril","display_name":"lisinopril","score":0.828000009059906},{"id":"https://openalex.org/keywords/olanzapine","display_name":"olanzapine","score":0.9739999771118164},{"id":"https://openalex.org/keywords/sildenafil","display_name":"sildenafil","score":0.9980000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9006927013397217},{"id":"https://openalex.org/C81603835","wikidata":"https://www.wikidata.org/wiki/Q3457430","display_name":"Pill","level":2,"score":0.7455040216445923},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.5444912910461426},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.451903760433197},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.4288490414619446},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4261086583137512},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4156076908111572},{"id":"https://openalex.org/C2776619155","wikidata":"https://www.wikidata.org/wiki/Q201872","display_name":"Olanzapine","level":3,"score":0.4137873351573944},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.32715925574302673},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2715572118759155},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.2134729027748108},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.18024176359176636},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.15447962284088135},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D008404","descriptor_name":"Massachusetts","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010349","descriptor_name":"Patient Compliance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012646","descriptor_name":"Self Administration","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D013607","descriptor_name":"Tablets","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D013607","descriptor_name":"Tablets","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D016527","descriptor_name":"Drug Costs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":3,"locations":[{"id":"pmid:12212758","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12212758","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},{"id":"mag:3109017545","doi":null,"is_oa":false,"landing_page_url":"https://healthpolicy.fsi.stanford.edu/publications/pillsplitting_the_potential_to_achieve_costsavings","pdf_url":null,"source":{"id":"https://openalex.org/S57989705","display_name":"The American Journal of Managed Care","issn_l":"1088-0224","issn":["1088-0224","1936-2692"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","fnege-4","jufo-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4322697529","host_organization_name":"Managed Care and Healthcare Communications","host_organization_lineage":["https://openalex.org/P4322697529"],"host_organization_lineage_names":["Managed Care and Healthcare Communications"],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"The American Journal of Managed Care","raw_type":null},{"id":"mag:2398618739","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12212758","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W1849723265","https://openalex.org/W2122332115","https://openalex.org/W2125070579","https://openalex.org/W2146906442","https://openalex.org/W2316280270","https://openalex.org/W2402888784","https://openalex.org/W2917168278"],"related_works":["https://openalex.org/W2122332115","https://openalex.org/W2023872131","https://openalex.org/W2007161591","https://openalex.org/W4301007951","https://openalex.org/W2067688862","https://openalex.org/W2160456894","https://openalex.org/W2064554015","https://openalex.org/W2030724690","https://openalex.org/W2976138835","https://openalex.org/W4231982631"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"present":[2,20],"a":[3,23,55,72,93,175],"methodology":[4],"for":[5,9,139],"identifying":[6],"specific":[7],"medications":[8,79,97,103],"which":[10,81],"pill":[11,106,133],"splitting":[12,107,134,172],"is":[13,135,193],"clinically":[14],"appropriate":[15],"and":[16,32,64,84,115,128,183],"cost":[17,36,94,113],"saving,":[18],"to":[19,33,70,99,105],"data":[21,53,67],"from":[22,38,54],"commercial":[24,56],"managed":[25,57],"care":[26,58],"population":[27],"on":[28,111],"current":[29],"pill-splitting":[30,165],"practices,":[31],"estimate":[34],"additional":[35],"savings":[37,114,141],"extended":[39],"use":[40],"of":[41,74,96,142,152],"this":[42,191],"strategy.":[43],"STUDY":[44],"DESIGN:":[45],"Retrospective":[46],"pharmacy":[47],"claims":[48,52],"analysis.":[49],"METHODS:":[50],"Pharmacy":[51],"health":[59],"plan":[60],"covering":[61],"19,000":[62],"lives":[63],"national":[65],"drug":[66],"were":[68,108],"used":[69,194],"compile":[71],"list":[73],"frequently":[75],"prescribed":[76],"medications.":[77],"Excluding":[78],"in":[80],"packaging,":[82],"formulation,":[83],"potential":[85,112,154],"adverse":[86],"pharmacologic":[87],"outcomes":[88],"prohibited":[89],"splitting,":[90],"we":[91],"performed":[92],"analysis":[95],"amenable":[98,104],"splitting.":[100],"RESULTS:":[101],"Eleven":[102],"identified":[109],"based":[110],"clinical":[116,188],"appropriateness:":[117],"clonazepam,":[118],"doxazosin,":[119],"atorvastatin,":[120],"pravastatin,":[121],"citalopram,":[122],"sertraline,":[123],"paroxetine,":[124],"lisinopril,":[125],"nefazadone,":[126],"olanzapine,":[127],"sildenafil.":[129],"For":[130],"these":[131],"medications,":[132],"currently":[136],"infrequent,":[137],"accounting":[138],"annual":[140],"$6200":[143],"(or":[144,156],"$0.03":[145],"per":[146,148,158,160],"member":[147,159],"month),":[149],"just":[150],"2%":[151],"the":[153],"$259,500":[155],"$1.14":[157],"month)":[161],"that":[162],"more":[163],"comprehensive":[164],"practices":[166],"could":[167],"save":[168],"annually.":[169],"CONCLUSIONS:":[170],"Pill":[171],"can":[173],"be":[174],"cost-saving":[176],"practice":[177],"when":[178],"implemented":[179],"judiciously":[180],"using":[181],"drug-":[182],"patient-specific":[184],"criteria":[185],"aimed":[186],"at":[187],"safety,":[189],"although":[190],"strategy":[192],"infrequently.":[195]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":7}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
